MoveOn.org Political Action Neighborhood Walk

MoveOn.org Political Action

MoveOn Members Endorse: Nomination Web Form

Tell us about your favorite candidate for U.S. House or U.S. Senate. Make your nomination by providing us with the information below.

Personal nominations and stories are far more helpful than information directly from the campaign or the campaign website. We are especially interested in unique, on the ground stories and observations about the candidate. Some types of examples of useful information include: a story about policy issue or cause the candidate spearheaded, an interaction you had with the candidate, or your opinion on why your candidate would be (or IS) a good leader in Congress.

You may continue to nominate your favorite candidates through November, but to be considered for the first round of MoveOn.org Political Action candidates we need your nomination by Tuesday, June 22nd, 2004 at midnight.

Nominee Questions

*Candidate’s First Name:

*Candidate's Last Name:

*Office being Sought:

District Number: (House only)

*State:

Party Affiliation:

Type of Candidate:

Campaign Address:

City / State / Zip:

Campaign Phone Number:

Candidate Website:

*Why are you supporting this candidate and why do you believe other MoveOn members should as well?

Anything else you would like to tell us about the candidate or campaign:

Your Contact Information

	*(=required)**
*Name:
*Email:
Phone:
Address:
City/State:
*Zip:

Many thanks for taking the time to fill out this survey. We'll read your answers closely, and we'll let you know soon about the next phase of our campaign.

Privacy Policy: MoveOn.org Political Action will treat your contact information as private and confidential. We will not provide your contact information to any other organization except MoveOn.org unless you specifically authorize us. We may share your best story of the day with the MoveOn membership, along with your name, city, and state, unless you tell us otherwise.

MoveOn.org Political Action will send you updates by e-mail. We will do our best to respect your time and attention. You can remove yourself from the mailing list at any time.